Neonatal paracorporeal lung assist device for respiratory failure

David M Hoganson; Avihu Z Gazit; Stuart C Sweet; R Mark Grady; Charles B Huddleston; Pirooz Eghtesady

doi:10.1016/j.athoracsur.2012.05.128

Neonatal paracorporeal lung assist device for respiratory failure

Ann Thorac Surg. 2013 Feb;95(2):692-4. doi: 10.1016/j.athoracsur.2012.05.128.

Authors

David M Hoganson¹, Avihu Z Gazit, Stuart C Sweet, R Mark Grady, Charles B Huddleston, Pirooz Eghtesady

Affiliation

¹ Division of Pediatric Cardiothoracic Surgery, Department of Surgery, Saint Louis Children's Hospital and Washington University, Saint Louis, St. Louis, Missouri, USA.

PMID: 23336880
DOI: 10.1016/j.athoracsur.2012.05.128

Abstract

Neonates who experience respiratory failure despite maximal ventilatory support have only extracorporeal membrane oxygenation as a rescue therapy, but it has very poor outcomes as a bridge to transplantation. A pumpless lung-assist device has been used in adults as a bridge to lung transplantation. An alternative membrane oxygenator, the Quadrox iD, is a suitable size for neonatal blood flow. Here we report the use of the Quadrox iD membrane oxygenator with central cannulation as a paracorporeal respiratory support therapy for a neonate with alveolar capillary dysplasia awaiting lung transplantation.

Publication types

Case Reports

MeSH terms

Humans
Infant, Newborn
Male
Oxygenators, Membrane*
Persistent Fetal Circulation Syndrome / complications*
Pulmonary Alveoli / abnormalities
Respiratory Insufficiency / etiology*
Respiratory Insufficiency / therapy*

Supplementary concepts

Alveolar capillary dysplasia